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A Comparison of Fasting Glucose and HbA1c for the Diagnosis of Diabetes Mellitus Among Korean Adults (공복혈당과 당화혈색소에 의한 당뇨병 진단 비교)

  • Yun, Woo-Jun;Shin, Min-Ho;Kweon, Sun-Seong;Park, Kyeong-Soo;Lee, Young-Hoon;Nam, Hae-Sung;Jeong, Seul-Ki;Yun, Yong-Woon;Choi, Jin-Su
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.5
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    • pp.451-454
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    • 2010
  • Objectives: The American Diabetes Association (ADA) has recently recommended the HbA1c assay as one of four options for making the diagnosis of diabetes mellitus, with a cut-point of $\geq$ 6.5%. We compared the HbA1c assay and the fasting plasma glucose level for making the diagnosis of diabetes among Korean adults. Methods: We analyzed 8710 adults (age 45-74 years), who were not diagnosed as having diabetes mellitus, from the Namwon study population. A fasting plasma glucose level of $\geq$126 mg/dL and an A1c of $\geq$ 6.5% were used for the diagnosis of diabetes. The kappa index of agreement was calculated to measure the agreement between the diagnosis based on the fasting plasma glucose level and the HbA1c. Results: The kappa index of agreement between the fasting plasma glucose level and HbA1c was 0.50. Conclusions: The agreement between the fasting plasma glucose and HbA1c for the diagnosis of diabetes was moderate for Korean adults.

Porcelain Laminate Veneer Restoration (Porcelain laminate veneer의 수복)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.191-200
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    • 2012
  • The patients' demand for treatment of unesthetic anterior teeth is steadily growing. Accordingly, several treatment options such as porcelain laminate veneers(PLV) have been proposed to restore the esthetic appearance of the dentition. Porcelain laminate veneers are considered minimally invasive, but they also require removal of sound enamel. One critical step in the porcelain laminate veneer technique is the achievement of sufficient ceramic thickness, and several different strategies for tooth preparation can be found in the literature. This clinical report describes a step-by-step protocols for preparation of these restorations used with the silicone index from diagnostic wax-up and the acrylic resin mock-up. Conservative use of porcelain laminate veneers provided satisfactory esthetic outcomes and preserved sound tooth structure.

Profitability of Options Trading Strategy using SVM (SVM을 이용한 옵션투자전략의 수익성 분석)

  • Kim, Sun Woong
    • Journal of Convergence for Information Technology
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    • v.10 no.4
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    • pp.46-54
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    • 2020
  • This study aims to develop and analyze the performance of a selective option straddle strategy based on forecasted volatility to improve the weakness of typical straddle strategy solely based on negative volatility risk premium. The KOSPI 200 option volatility is forecasted by the SVM model combined with the asymmetric volatility spillover effect. The selective straddle strategy enters option position only when the volatility is forecasted downwardly or sideways. The SVM model is trained for 2008-2014 training period and applied for 2015-2018 testing period. The suggested model showed improved performance, that is, its profit becomes higher and risk becomes lower than the benchmark strategies, and consequently typical performance index, Sharpe Ratio, increases. The suggested model gives option traders guidelines as to when they enter option position.

A Study on the Analysis of LCA tools for Eco-Building (친환경 건축물의 LCA 평가도구 비교분석 연구)

  • Son, Woo-Jin;Kang, Hae-Jin;Rhee, Eon-Ku
    • 한국태양에너지학회:학술대회논문집
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    • 2009.11a
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    • pp.394-399
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    • 2009
  • Since some decades ago, there has been a concern for resource depletion and environmental pollution associated with building properties. In addressing such impact of the built environment, there is a recognition of the existence of alternative building materials, fuels for energy supply as well as technologies for waste handling and disposal. Nevertheless, for long time, the choice between such alternatives was dictated by factors such as differences in prices and aesthetic values. A new important dimension in discriminating between different options is the environmental dimension. This aspect is important since buildings are one of the spatially big new additions to the natural environment that consume a lot of materials and energy during their long lifetime. Thus, with the environmental dimension kept in mind, a existing cost estimation needs to be changed. A new cost assessment method, Life Cycle Cost, should calculate overall costs with dimensional factors: investment and utility costs as well as maintenance costs over the lifetime of the building. Aiming to give an overview of the present status of Building Life Cycle Assessment(LCA) tools as a basis for further research and development including economic performance, this paper describes and compares 3 different tools for Life Cycle Assessment(LCA) and economic analysis of the green buildings. This paper compared these approaches based on various aspects. These include economic analysis method, evaluation duration, data of results(index). Use of the comparison analysis is to produce a better picture and indicate profits and shortcomings for the tools as a group; thus providing important direction improvement of LCA tool as well as further research and development of this group of tools.

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A Case Report of Hemiparesis After Head Injury Treated with Traditional Korean Medicine (두부 외상 이후 발생한 반신부전마비 한의 치료 1례 보고)

  • Kim, Chae-eun;An, Da-young;Sun, Seung-ho;Jerng, Ui min;Kim, Mikyung
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.817-826
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    • 2022
  • Objectives: The aim of this study is to report a case in which a patient showed recovery from hemiparesis after a head injury. Methods: A 60-year-old woman who suffered a head injury received Korean medicine treatment, including herbal decoctions, acupuncture, electroacupuncture, and physical treatment for 32 days. The response before and after treatment was evaluated using the Manual Muscle Test, the Korean version of the Modified Barthel Index, and walking status. Results: After treatment, the range of the Manual Muscle Test grades of her left lower extremity increased from 1-3 to 2-4. Her score on the Korean version of the Modified Barthel Index improved from 60 to 90. The patient, who was in a wheelchair at the time of admission, walked with a cane upon discharge. Conclusion: This study suggests that intervention with Korean medicine could be one of the therapeutic options for improving hemiparesis after head injury.

Effect of Dental Practicality Index training using an online video on decision-making and confidence level in treatment planning by dental undergraduates

  • Zhai Wei See;Ming Sern Lee;Abhishek Parolia;Shalini Kanagasingam;Shilpa Gunjal;Shanon Patel
    • Restorative Dentistry and Endodontics
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    • v.49 no.1
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    • pp.8.1-8.12
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    • 2024
  • Objectives: The purpose of this study was to evaluate the effect of Dental Practicality Index (DPI) training using an online video on the treatment planning decisions and confidence level of dental undergraduates (DUs). Materials and Methods: Ninety-four DUs were shown 15 clinical case scenarios and asked to decide on treatment plans based on 4 treatment options. The most appropriate treatment plan had been decided by a consensus panel of experienced dentists. DUs then underwent DPI training using an online video. In a post-DPI-training test, DUs were shown the same clinical case scenarios and asked to assign the best treatment option. After 6 weeks, DUs were retested to assess their knowledge retention. In all 3 tests, DUs completed the confidence level scale questionnaire. Data were analyzed using the related-samples Wilcoxon signed rank test and the independent-samples Mann-Whitney U test with the level of significance set at p < 0.05. Results: DPI training significantly improved the mean scores of the DUs from 7.53 in the pre-DPI-training test to 9.01 in the post-DPI-training test (p < 0.001). After 6 weeks, the mean scores decreased marginally to 8.87 in the retention test (p = 0.563). DPI training increased their confidence level from 5.68 pre-DPI training to 7.09 post-DPI training. Conclusions: Training DUs using DPI with an online video improved their decision-making and confidence level in treatment planning.

Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy as Treatment Options for Peritoneal Metastasis of Advanced Gastric Cancer

  • Kim, Dong-Wook;Park, Dong-Guk;Song, Sanghyun;Jee, Ye Seob
    • Journal of Gastric Cancer
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    • v.18 no.3
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    • pp.296-304
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    • 2018
  • Purpose: This study aimed to examine the outcomes of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with peritoneal metastasis (PM) of advanced gastric cancer (AGC). Materials and Methods: Between May 2015 and June 2017, 38 CRS and HIPEC procedures were performed in patients with PM of AGC at the Dankook University Hospital. We prospectively collected and analyzed data regarding PM grade, morbidity and mortality rates, and short-term follow-up results (median, 13.5 months). Results: The mean peritoneal cancer index was 15 (range, 0-39). Complete cytoreduction was achieved in 21 patients (55.2%), whereas complications occurred in 16 (42.1%) and 2 (5.7%) patients died. The overall median patient survival time was 19 months. The patients who underwent complete cytoreduction had a median survival time of 26 months, which was significantly longer than the median survival time of 16 months in the patients who did not undergo complete cytoreduction (P=0.006). Conclusions: CRS with HIPEC may have a beneficial effect in patients with PM of AGC. However, the rates of complications and mortality associated with this combined therapeutic approach are high. Therefore, this treatment should be performed only in selected patients by surgeons experienced in the field of gastric cancer with PM.

A Study on Improvement of Health Center's Function through Cost-Effectiveness Analysis in Korea (1차 보건의료사업의 비용-효과분석을 통한 보건소 기능의 확대 방안 연구)

  • 김종인;윤치근
    • Health Policy and Management
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    • v.5 no.2
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    • pp.70-103
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    • 1995
  • The aim of this study sets out to discover a desirable form of public centers among the alternative ones and make a health center model. Especially, this study attempts; (i) to investigate factors that affect the performance of health centers; (ii) carry out cost-effectiveness analysis (CEA) for the various type of health centers; (iii) identify innovative strategies to increase the use of health center. Cost-effectiveness analysis is used to compare the performance of all the centers. The following is taken to create the index. Wi = Ti x Mi x Eij (Wi: weight for service item I, Ti : time spent for service I, Mi ; number of health personnel involved in service I, Eij : years of schooling for personnel j in providing service I). As a result of these analyses, policy options as follows are recommended; (i) proper manpower, especially public health physician (oriental medical doctor), should be enough to provide health care adequately; (ii) facilities ad equipments in the health center should be provided sufficiently. (iii) the utilization of health centers should be raised by active operation of mobil service, community participation and health education program. Ultimately health centers in public sector are to be fostered for the promotion of health care by enhancing the financial and quality, continuity and efficiency of health services.

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A Study on the Low Force Estimation of Skeletal Muscle by using ICA and Neuro-transmission Model (독립성분 분석과 신전달 모델을 이용한 근육의 미세한 힘의 추정에 관한 연구)

  • Yoo, Sae-Keun;Youm, Doo-Ho;Lee, Ho-Yong;Kim, Sung-Hwan
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.3
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    • pp.632-640
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    • 2007
  • The low force estimation method of skeletal muscle was proposed by using ICA(independent component analysis) and neuro-transmission model. An EMG decomposition is the procedure by which the signal is classified into its constituent MUAP(motor unit action potential). The force index of electromyography was due to the generation of MUAP. To estimate low force, current analysis technique, such as RMS(root mean square) and MAV(mean absolute value), have not been shown to provide direct measures of the number and timing of motoneurons firing or their firing frequencies, but are used due to lack of other options. In this paper, the method based on ICA and chemical signal transmission mechanism from neuron to muscle was proposed. The force generation model consists of two linear, first-order low pass filters separated by a static non-linearity. The model takes a modulated IPI(inter pulse interval) as input and produces isometric force as output. Both the step and random train were applied to the neuro-transmission model. As a results, the ICA has shown remarkable enhancement by finding a hidden MAUP from the original superimposed EMG signal and estimating accurate IPI. And the proposed estimation technique shows good agreements with the low force measured comparing with RMS and MAV method to the input patterns.

A Simulation Study of the Investment Strategy in Stocks on Fundamental Analysis (기본적 분석방법을 통한 주식 투자 전략에 관한 시뮬레이션 연구)

  • Gu, Seung-Hwan;Jang, Seong-Yong
    • Korean Management Science Review
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    • v.29 no.2
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    • pp.53-64
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    • 2012
  • This paper is about the investment strategy in stocks on Fundamental analysis. Financial data of stocks from January 2. 2001 through October 30. 2009 were utilized in order to suggest the investment strategies. Fundamental analysis was used in stocks-related strategy. The portfolios are composed of 3 criteria such as the buying criteria score, exchange cycle and selling conditions. The buying criteria score is determined assigned to each stock index according to the satisfaction condition of 15 parameters selected considering the grue's criteria. The stock buying alternatives has two options with buying stocks over 13 points and over 14 points of buying criteria score. The seven exchange cycles and three selling methods are considered. So total number of portfolios is 42($2{\times}7{\times}3=42$). The simulation has been executed about each 42 portfolios and we figured out with the simulation result that 83.33% of 35 portfolios are more profitable than average stock market profit(203.43%). The outcome of this research is summarized in two parts. First, it's the exchange strategy of portfolio. The result shows that value-oriented investment (long-term investment) strategy yields much higher than short-term investment strategies of stocks. Second, it's about the exchange cycle forming the portfolios. The result shows that the rate of return for the portfolio is the best when exchange cycle is 18 months.